2024-2025 PN HESI EXIT
EXAM QUESTIONS AND
ASNSWERS
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HESI EXIT EXAM 2024-2025 VERSION 1 QUESTIONS AND
CORRECT ANSWERS GUARANTEED SUCCESS.
1. The nurse is discussing with a group of students the disease Kawasaki. What statementmade by a student about Kawasaki
disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucousmembranes (inside the mouth, throat
and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the handsand feet with joint and abdominal
pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, whichlasts 1 to2 weeks The correct
answer is C: Kawasaki disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent
2. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in
every other hour during first 12 hours after admission? A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees C) Side-
lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
3. A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection
of the prostate (TURP) 12 hours ago. Which findingat this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter The correct answer is C:minimal drainage into the urinary
collection bag
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,4. A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the room
in response to the call. After checking the client’s pulseand respirations, what should be the function of the second
nurse? A) Relieve the nurse performing CPR
B) Go get the code cart
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C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions or breathing
5. Which of these clients who are all in the terminal stage of cancer is least appropriateto suggest the use of patient
controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the handsD) A preschooler with intermittent episodes of alertness
The correct answer is D: A preschooler with intermittent episodes of alertness
6. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive(NOFTT). Upon
entering the room, the nurse would expect the baby to be A) Irritable and "colicky" with no attempts to pull
to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen D) Pale, thin arms and
legs, uninterested in surroundings
The correct answer is D: Pale, thin arms and legs, uninterested in surroundings
7. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse
expect this group to be more interested induring the discussion?
A) Mouth sores
B) Fatigue
C) DiarrheaD) Hair
loss
The correct answer is D: Hair loss
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8. While caring for a client who was admitted with myocardial infarction (MI) 2 daysago, the nurse notes today's
temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to
0
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
9. Which information is a priority for the RN to reinforce to an older client afterintravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D) Measure the urine output for the next day and immediately notify the health careprovider if it should decrease.
The correct answer is D: Measure the urine output for the next day and immediatelynotify the health care provider if it
should decrease.
10. A client has altered renal function and is being treated at home. The nurse recognizesthat the most accurate indicator of
fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
11. A client has been diagnosed with Zollinger-Ellison syndrome.Which information ismost important for the nurse
to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the pancreasor in the upper part of the small
intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of pepticulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, ifpossible, surgery to remove any tumors
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